About Apreva Hospice
Hospice overview and quality summary
Apreva Hospice is a for-profit hospice care provider in San Diego, CA, serving patients and families in San Diego County and the surrounding area. Medicare certified since 2009, Apreva Hospice has provided 17 years of end-of-life and palliative care to the community.
Apreva Hospice serves an average of 170 patients per day, covering 99 ZIP codes across its service area. 29% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Apreva Hospice a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 8 physicians are affiliated with this hospice.
When choosing hospice care in San Diego, CA, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Average
CMS CAHPS Hospice Star Rating
Apreva Hospice has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in San Diego, CA compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
89% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
88% of caregivers gave a top rating for treated with respect, consistent with the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
70% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
78% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
74% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
66% of caregivers gave a top rating for training for family caregivers, below the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
80% of caregivers gave a top rating for overall rating (9-10), consistent with the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
83% of caregivers gave a top rating for would recommend, consistent with the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.9%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
100.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
100.0%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.6%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
99.7%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Apreva Hospice's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
47.0% of Apreva Hospice's patients received visits from the hospice team in their final days of life, consistent with the national average of 47.9%. Presence during the final days reflects the hospice's commitment to supporting families when it matters most.
Visits Near Death
Patients with visits in last 3 days of life
88.5%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
6.4%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
68.7%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
10.2%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
45.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
4.7%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.2%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$21,951
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Apreva Hospice's patient population is primarily composed of individuals with dementia (40%), followed by cancer (21%), other conditions (17%), cardiovascular disease (12%), respiratory disease (6%), stroke (6%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Apreva Hospice delivers 29% of its care in patients' homes, with 61% in assisted living settings, 10% in nursing facility settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 170 patients per day.
Assisted Living
Patient's Home
Nursing Facility
Doctors at Apreva Hospice
8 affiliated physicians
Dr. Flora Danque, MD
Family Practice
Dr. Mansour Mofidi, DO
Internal Medicine
Dr. Nittly Chahal, MD
Internal Medicine
Dr. Farschad Birdjandi, MD
Internal Medicine
Dr. Katherine Norris, MD
General Practice
Dr. Kamron Mirkarimi, MD
Internal Medicine
Dr. Daniel Harrison, MD
Internal Medicine
Dr. Mary Gessner-peterson, DO
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Apreva Hospice
What is the CMS rating for Apreva Hospice?
Apreva Hospice has a 3-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Apreva Hospice primarily treat?
Apreva Hospice's patient population includes dementia (40%), cancer (21%), other conditions (17%), cardiovascular disease (12%), respiratory disease (6%), stroke (6%). This reflects the hospice's experience managing these conditions.
Where does Apreva Hospice provide care?
Apreva Hospice provides care in assisted living (61%), patient's home (29%), nursing facility (10%).
How large is Apreva Hospice?
Apreva Hospice serves an average of 170 patients per day and covers 99 ZIP codes in its service area.
How many doctors are affiliated with Apreva Hospice?
8 physicians are affiliated with Apreva Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·